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West Virginia rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.24 / $99.24 / $99.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.36 / $99.24 / $107.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.65 / $303.57 / $364.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.55 / $169.78 / $291.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $284.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $1,156.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.96 / $141.04 / $168.27